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La fertilité chez le blessé médullaire. Effet du niveau de la lésion médullaire

Fertility in Spinal cord injured males. Effect of the level of spinal lesion

Résumé

Les blessés médullaires souffrent d’anéjaculation dans une grande majorité des cas ainsi que d’anomalies de la qualité du sperme qui altèrent leur fertilité. La prise en charge doit prendre en compte les comorbidités que sont la spasticité, les troubles urinaires et la fonction anorectale qui modifient la fonction sexuelle. Le niveau de la lésion médullaire ainsi que son étendue ont un impact à la fois sur la possibilité d’obtention d’une éjaculation réflexe et sur la qualité du sperme.

Abstract

The majority of spinal cord injured males cannot procreate naturally due to anejaculation as well as abnormal sperm characteristics. Treatment of this impaired fertility must be associated with treatment of neurogenic urinary tract disorders, bowel dysfunction and spasticity. The level of the spinal lesion and the spinal cord injury syndrome influence the possibility of inducing reflex ejaculation by penile vibratory stimulation and sperm quality.

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Correspondence to P. Denys.

Additional information

Communication à la Session SALF-AFU des 6° Journées de la Fédération Française d’Étude de la Reproduction, Lyon, 5–7 septembre 2001

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Denys, P., Even Schneider, A., Soler, J.M. et al. La fertilité chez le blessé médullaire. Effet du niveau de la lésion médullaire. Androl. 11, 240–242 (2001). https://doi.org/10.1007/BF03034637

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Mots clés

  • Blessés médullaires
  • fertilité
  • anéjaculation
  • vessie neurologique
  • niveau lésionnel

Key words

  • Spinal cord injury
  • fertility
  • anejaculation
  • neurogenic bladder
  • spinal level
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